OrganizationActive
Wal-Mart Pharmacy
NPI 1619378759 · Pharmacist · Page, AZ
Provider details
- NPI number
- 1619378759
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Stacy Smith, Pharmacist(928) 645-2917
- License
- S016867 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1017 West Haul
Page, AZ 86040-0656
Phone: (928) 645-2917
Approximate (ZIP-level) locationGet directions
Mailing address
1017 W Haul Rd
Page, AZ 86040
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2014-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.